A nurse is planning to delegate a task to an assistive personnel (AP). Which of the following actions should the nurse plan to take?

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Question 1 of 5

A nurse is planning to delegate a task to an assistive personnel (AP). Which of the following actions should the nurse plan to take?

Correct Answer: D

Rationale: The correct answer is D: Provide a clear description of the task to the AP. This is essential to ensure the task is understood and completed accurately. Assessing the AP's ability to follow a teaching plan (A) is not relevant to task delegation. Determining social skills (B) and evaluating ability to work with peers (C) are also not directly related to task delegation. Providing clear instructions (D) is crucial for effective delegation and ensuring the task is performed correctly.

Question 2 of 5

A nurse notes a provider frequently arrives to the unit with bloodshot eyes and smells like alcohol after lunch. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Rationale for Correct Answer D: 1. Notify the nursing supervisor: This is the appropriate action to ensure patient safety and address the provider's behavior through the appropriate channels. 2. Counseling the provider (Option A) may not be effective as immediate action is needed. 3. Encouraging clients to change providers (Option B) does not address the underlying issue. 4. Informing the state medical board (Option C) could be premature without internal investigation.

Question 3 of 5

Which of these nursing diagnoses, appropriate for elderly clients, would indicate the client is at greatest risk for falls?

Correct Answer: A

Rationale: The correct answer is A: Sensory perceptual alterations related to decreased vision. Elderly clients with decreased vision are at greater risk for falls due to impaired depth perception, reduced awareness of obstacles, and difficulty navigating their environment. This nursing diagnosis directly impacts the client's ability to detect potential fall hazards. Incorrect Choices: B: Alteration in mobility related to fatigue - Fatigue may contribute to falls but is not as directly related to fall risk as sensory perceptual alterations. C: Impaired gas exchange related to retained secretions - This nursing diagnosis is not directly associated with an increased risk of falls. D: Altered patterns of urinary elimination related to nocturia - Nocturia may impact mobility during nighttime bathroom trips but is not as critical in fall risk assessment compared to sensory perceptual alterations.

Question 4 of 5

Which of these actions is the primary nursing intervention designed to limit transmission of a client's Salmonella infection?

Correct Answer: A

Rationale: The correct answer is A because washing hands thoroughly before and after client contact is the primary nursing intervention to limit transmission of a client's Salmonella infection. Handwashing is crucial in removing and preventing the spread of pathogens. Choice B is incorrect because gloves alone do not replace proper hand hygiene. Choice C is not the primary intervention and does not address overall hand hygiene. Choice D is also incorrect as wearing gloves during linen disposal does not address the root of transmission, which is hand contamination. In summary, handwashing is the most effective and fundamental measure in preventing the transmission of infections like Salmonella.

Question 5 of 5

A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?

Correct Answer: B

Rationale: The correct answer is B: Nonmaleficence. Nonmaleficence is the ethical principle of doing no harm. In this scenario, the nurse should prioritize the client's comfort and pain relief without causing harm. Administering the pain medication as needed aligns with this principle by addressing the client's suffering without intentionally hastening death. Utilitarianism (A) focuses on the greatest good for the greatest number, which may not directly apply to the individual client's situation. Fidelity (C) pertains to keeping promises and being faithful, which is important but not the primary ethical principle in this case. Veracity (D) relates to truth-telling, which is also important but not the primary concern when addressing pain management in end-of-life care.

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